Effectiveness of Cognitive-Behavioral Stress Management for Depression, Anxiety, Cognitive Emotion Regulation, and Quality of Life in Patients with Irritable Bowel Syndrome: A Quasi-experimental Study

AuthorMasoumeh Jafarien
AuthorParviz Sabahien
AuthorFaezeh Jahanen
AuthorNemat Sotodeh Aslen
OrcidMasoumeh Jafari [0000-0003-3159-0819]en
OrcidParviz Sabahi [0000-0001-6654-1289]en
OrcidFaezeh Jahan [0000-0002-2501-3583]en
OrcidNemat Sotodeh Asl [0000-0001-7166-0602]en
Issued Date2022-04-30en
AbstractBackground: Irritable bowel syndrome (IBS) symptoms increase with aggravating psychological factors such as anxiety, mood disorders, depression, and stress caused by nerve stimulation. Effective psychotherapy-based interventions are essential for medical conditions and chronic diseases. Objectives: The present study aimed to investigate the effectiveness of cognitive-behavioral stress management (CBSM) for depression, anxiety, cognitive emotion regulation (CER), and quality of life (QoL) in IBS patients. Methods: This quasi-experimental study utilized a pretest-posttest design with a control group. The statistical population comprised all IBS patients visiting Be'sat Gastroenterology Specialist Clinic of Tehran in 2019. A sample of 50 patients was selected and randomly divided into intervention (CBSM, n = 25) and control (n = 25) groups. The experimental group underwent eight sessions (90-minute sessions per week) of CBSM, and the control group did not receive any intervention. The research instruments included the Cognitive Emotion Regulation Questionnaire (CERQ), the State-Trait Anxiety Inventory (STAI), the SF-36 Questionnaire (SF-36), and the Beck Depression Inventory (BDI-II). Multivariate analysis of covariance was used to analyze data. Results: The participants included 50 IBS patients aged 36.39 ± 7.45 years. The mean posttest scores for depression and anxiety were 24.70 ± 2.34 and 23.80 ± 2.88 in the experimental group and 29.73 ± 2.76 and 29.43 ± 2.77 in the control groups, respectively. The mean posttest score of QoL in the experimental group was 105.93 ± 7.85, which was significantly different from the control group score (92.03 ± 8.39). The CBSM was effective in reducing negative mood (depression and anxiety) and CER and improving QoL of IBS patients (P < 0.001). Conclusions: The CBSM is a practical therapeutic approach to increase QoL and reduce negative mood in IBS patients. Therefore, the CBSM can be used as an effective intervention to improve the QoL of IBS patients.en
DOIhttps://doi.org/10.5812/jjcdc.122098en
KeywordChronic Diseaseen
KeywordDepressionen
KeywordAnxietyen
KeywordQuality of Lifeen
KeywordIrritable Bowel Syndromeen
PublisherBrieflandsen
TitleEffectiveness of Cognitive-Behavioral Stress Management for Depression, Anxiety, Cognitive Emotion Regulation, and Quality of Life in Patients with Irritable Bowel Syndrome: A Quasi-experimental Studyen
TypeResearch Articleen

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